Reservation Form

Kindly complete this form by filling in the fields, printing the page, and signing.
Then either fax or mail to Gate 1 Travel.
We cannot accept electronic submissions.

Click Here for the pdf version

Tour Name:

Departure Date :

US Departure Airport:

Passenger Name (as it appears on the passport) First / Middle / Last - Title: Mr / Mrs / Ms / Rev / Sr

Home Phone:

( )

Fax:

( )

Email Address:

Street:

City:

State:

Zip:

Deposit:

(if paying by credit card, please complete and enclose credit card form)

Accommodations:

Travel Insurance:

                 
                 per person X 
                 
                = $

Included

Bill with Final Invoice

I (we) Decline

Signature:

Passenger Passport Information Please complete the following form with your passport information. Print clearly please. A separate sheet may be used for additional names as necessary. Classic Pilgrimages must have the completed forms before airline tickets and tour documents can be released.
Passenger 1		Passenger 2
Name:		Name:
Date of Birth:		Date of Birth:
Citizenship:		Citizenship:
Passport #:		Passport #:
Date & Place of Issue:		Date & Place of Issue:

Please initial below, sign and submit with your payment.
Travel documents will be sent once this form has been received by Gate 1 Travel.

___ I have read and understood all terms and conditions including the terms of cancellation policies which may be reviewed at www.classic-pilgrimages.com/terms.asp. My payment and signature below constitute acceptance of those terms.

Cardholder's Signature

Name (printed)

Date

Fax to CP/GATE 1 at
215-886-2228

or mail to:
Classic Pilgrimages
455 Maryland Drive
Ft. Washington, PA 19034

Thank You.

Reservation Form

Passenger Passport Information

Passenger 1

Passenger 2